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Individual
DR. HERMAN L DEANNA
Active
Individual
DR. HERMAN L DEANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5723570
AETNA PIN
FL
05
—
620097400
—
FL
01
—
810468
EYEMED PIN
FL
Enumeration date
02/14/2006
Last updated
01/21/2024
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